Bacteriological analysis in the management of conjunctivitis. Comparison of antibiotic resistance between 1982 and 2008 |
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| Authors: | Carreras B |
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| Institution: | 1. Aristotle University, School of Agriculture, Pesticide Science Laboratory, P.O. Box 1678, 54006 Thessaloniki, Greece;2. Democritus University of Thrace, Laboratory of Agricultural Pharmacology and Ecotoxicology, 193 Pantazidou Street, 68200 Orestias, Greece;3. Cyprus International Institute for Environmental and Public Health in association with Harvard School of Public Health, Cyprus University of Technology, Limassol, Cyprus;1. Escuela de Medicina, Facultad de Ciencias Médicas, Universidad de Especialidades Espíritu Santo, Samborondón, Ecuador;2. Servicio de Obstetricia y Ginecología-Hospital Universitario Cruces, Universidad del País Vasco EHU-UPV, Baracaldo, Vizcaya, España;3. Escuela de Medicina, Facultad de Ciencias Médicas, Universidad de Especialidades Espíritu Santo, Guayaquil, Ecuador;1. Institute of Organic Chemistry, University of Hamburg, Martin-Luther-King-Platz 6, 20146 Hamburg, Germany;2. German Center for Infection Research (DZIF), Partner Site Hamburg-Lübeck-Borstel-Riems;3. NRW Graduate School of Chemistry, University of Münster, Germany;4. Institute of Pharmaceutical and Medicinal Chemistry, University of Münster, Corrensstr. 48, 48149 Münster, Germany;5. Institute of Pharmacy, Martin Luther University of Halle-Wittenberg, Wolfgang-Langenbeck Str. 4, 06120 Halle (Saale), Germany;1. Departamento de Cirugía, Universidad de Salamanca, Salamanca, España;2. Servicio de Urología, Complejo Asistencial Universitario de Salamanca, Salamanca, España;3. Grupo de Investigación Multidisciplinar Urológico Renal (GRUMUR), Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, España;4. Servicio de Urgencias, Complejo Asistencial Universitario de Zamora, Zamora, España;5. Enfermería, Complejo Asistencial Universitario de Zamora, Zamora, España;6. Servicio de Urología, Complejo Asistencial Universitario de Ávila, Ávila, España;7. Departamento de Medicina Preventiva y Salud Pública, Universidad de Salamanca, Salamanca, España;8. Servicio de Urología, Hospital Universitario de Canarias, La Laguna, Tenerife, España |
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| Abstract: | ObjectiveTo demonstrate the need for bacteriological analysis for the rational treatment of infections of the corneal surface, including conjunctivitis.MethodsThe results of 1,970 consecutive bacteriological analysis obtained from 2001 to 2008 in patients with ocular hyperemia and discharge were analysed and compared with a similar study done in 1982 in the same geographical area.ResultsBacterial growth was obtained in 1,044 cases (53%). The most frequent bacteria were Staphylococci spp. (56.6%), followed by Streptococci spp. (21.4%), Haemophili spp. (12.1%), and other gram-negative bacteria (9.9%). No antibiotic was effective against all the bacteria isolated. The frequency of resistant bacteria against neomycin, tobramycin, erythromycin and gentamicin was significantly increased with respect to the study of 1982.ConclusionsBacteriological analysis of conjunctival specimens are necessary to ensure the choice of an effective antibiotic against bacteria of the ocular surface when the initial treatment fails. |
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